JONATHAN ALTER: Democrats must get smart on entitlements

In a season of depressing budget news, the worst may have been that a majority of U.S. House Democrats signed a letter urging President Barack Obama to oppose any benefit cuts to Social Security, Medicare, Medicaid and other entitlements. That's the last thing we need.

To hold the line on harmful cuts to discretionary spending, Obama and the Democrats must educate the public about the necessity of entitlement reform. Otherwise, the poor and needy -- largely spared by the automatic reductions under sequestration -- will get hit much harder down the road.

Liberals are right to reject Republican proposals that would slash social-welfare programs even as they refuse to consider closing tax loopholes for the wealthy. And I agree that the sequestration will cut into the bone of important government functions and investments in the future.

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That makes two more reasons to start talking seriously about how we will pay for the insanely expensive retirement of the baby boomers.

How expensive? Anyone reaching retirement age in the next 20 years (including me) will take more than three times as much out of Medicare as he or she contributed in taxes. By 2030, the U.S. will have twice as many retirees as in 1995, and Social Security and Medicare alone will consume half of the federal budget, with the other half going almost entirely to defense and interest on the national debt. It's unsustainable.

Saying Goodbye

If Democrats don't want to talk about these programs, they can say goodbye to every other pet program. We can preserve Medicare in amber only at the expense of investments in prekindergarten programs or cancer research.

To reform entitlements, we should assess what these programs were meant to do in the first place.

For starters, Presidents Franklin D. Roosevelt and Lyndon B. Johnson didn't call them entitlements. Jimmy Carter's administration borrowed the term from "Anarchy, State and Utopia," a 1974 book by Robert Nozick, a political philosopher.

"Entitlement" sounds selfish and at odds with the dignity and peace of mind that Social Security and Medicare are meant to provide.

It distorts the animating idea behind these programs, which is social insurance.

FDR didn't have strong feelings about benefit levels, retirement ages or eligibility standards. He focused on what he called guaranteed return. By that he meant that having paid into the system through a kind of insurance premium (though in fact it was merely a payroll tax), Americans should rest easy that some money would be there for them if they lived long enough to need it. The whole point was "insurance against need."

"Guaranteed return" and "insurance against need" should continue to be the two guiding principles of social-insurance reform.

"Guaranteed return" means no privatization or voucher system for these programs. FDR would have strongly opposed President George W. Bush's plan to allow Social Security contributions to be invested in the stock market. He thought subjecting retirement income to what he called "the winds of fortune" was a breach of the social contract. Imagine what would happen to someone who retired in 1929 or 2008? No guaranteed return.

"Insurance against need" suggests keeping the focus on poor and middle-class recipients who depend on the money most. That means means-testing, giving wealthier retirees less. FDR, who favored high levels of taxation on the rich, would have been fine with taxing their benefits, too, as long as they were guaranteed to get at least something back.

Old Argument

Liberals generally oppose means-testing social-insurance programs. For decades they've argued that if the wealthy don't get a heaping portion of Social Security and Medicare, it will undermine the political support of the programs and turn them into a form of welfare. Once that happens, the theory goes, the programs will be ended.

Like the word entitlements, this hoary idea should be retired. Social Security and Medicare are now so deeply in the marrow of the American middle class that they will never be seen as welfare. The question is not whether to reform them, but how.

Roosevelt structured Social Security as an insurance program with "contributions" through the tax code "so no damn politician can ever take it away." He didn't specify anything about the level of taxation or cost-of-living increases, which weren't an issue in the 1930s but would become one shortly after World War II.

Today, only the first $110,000 in income is subject to the 7.65 percent tax that pays for Social Security and Medicare. Lifting the cap to higher income levels (say $250,000 or $400,000) could eventually generate hundreds of billions of dollars.

Republicans consider this a tax increase. That's only true outside the context of these programs. The change could be structured so that no one paid in more than actuarial tables say they would take out. That would still raise billions and be consistent with the idea of paying for your own retirement if you can afford it.

For lifting the cap to have any chance, it would have to be matched by reforms such as adopting the chained consumer-price index, a new way to measure cost-of-living adjustments that Obama apparently favors. Liberals oppose chained CPI because it would theoretically result in lower benefits. But less frequent cost-of-living increases aren't the same as cuts, especially if the current system is, as many experts believe, based on an inaccurate assessment of inflation.

Maybe there are better ideas for reforming social insurance. The point is, we better start talking about them. Otherwise, grandpa and grandma and their fellow Grateful Dead fans are going to eat all the food on the table.